Face Surgery

Blepharoplasty – upper eyelid

What is the operation?

Removal of excess skin and fat from the upper eyelids.

What are the main body concerns it helps to improve? 

  • tired appearance
  • excess skin (in severe cases can obstruct vision)
  • excess fat

What is involved? 

  • 1-hour operation
  • day surgery

Blepharoplasty – lower eyelid

What is the operation?

Removal of excess skin and fat from the lower eyelids.

What are the main body concerns it helps to improve?

  • tired appearance
  • dark shadows beneath the eyes
  • excess skin
  • excess fat
  • often combined with fat grafting to blend the lid-cheek junction and improve the tear trough shadow

What is involved?

  • 5 hour operation
  • day surgery
  • recovery is slower than after upper eyelid blepharoplasty. A tearing swollen eyelid margin is common for the first 2-3 weeks.

Brow lift

What is the operation?

Elevation of the lateral brow via either a hidden hairline incision in the temple or a direct incision above the eyebrow.

What are the main body concerns it helps to improve?

  • sagging brow
  • lateral “hooding” – upper eyelid skin crease extending onto the face

What is involved?

  • 5 hour operation
  • day surgery

Facelift

What is the operation?

The tightening of lax fascia (SMAS) deep to the skin via an incision in front of the ear.  Facial ageing is a combination of increased SMAS laxity and loss of volume from the upper face (lid-cheek junction), and increased volume in the lower face (jowls and jawline).

What are the main body concerns it helps to improve? 

  • jowls
  • loss of jaw definition
  • deep nasolabial folds
  • a facelift addresses one component of facial ageing and is often combined with fat grafting for a more powerful effect.

What is involved?

  • 4-hour operation
  • overnight stay in hospital
  • 2 drains
  • 1-week in a compression garment

Fat grafting – face

What is the operation?

Liposuction of fat from an area of fat excess eg abdomen or outer thighs.  The fat is processed and injected to add volume to specific areas of the face eg the lid-cheek junction or nasolabial folds.

What are the main body concerns it helps to improve?

  • loss of upper cheek volume
  • improves the contour between the lower eyelid and cheek
  • fills out the nasolabial groove
  • camouflages the jowls
  • often combined with a facelift or lower eyelid blepharoplasty
  • compared to hyaluronic acid filler, a fat graft is permanent. However, the proportion of fat that survives in the new location varies between patients and is unpredictable.

What is involved? 

  • 1-hour operation
  • day surgery
  • activity restrictions 1-2 weeks

Neck lift

What is the operation?

The tightening of lax fascia (SMAS) deep to the skin via incisions under the chin and behind the ear.  Lax or divergent muscles at the front of the neck are also treated.

What are the main body concerns it helps to improve?

  • loose neck skin rolls “turkey neck”
  • muscle bands that appear dynamically or at rest
  • loss of neck contour
  • defines the jaw neck junction

What is involved?

 

  • 3-4 hour operation
  • overnight stay in hospital
  • 2 drains
  • 1-week in a compression garment

Otoplasty (prominent ears)

What is the operation?

Correcting an underfolded prominent ear, setting it back closer to the head.

What are the main body concerns it helps to improve?

  • prominent ears
  • asymmetry

What is involved? 

  • 2-hour operation
  • day surgery
  • head bandage for 1-week
  • head band at night for 3-months

Rhinoplasty

What is the operation?

Modification of the underlying cartilage and bone that creates a framework for the nose.  Cartilage grafts from the nasal septum or rib or from a commercial product are commonly used, particularly to treat nasal obstruction.

What are the main body concerns it helps to improve?

  • nasal obstruction
  • cosmetic appearance

What is involved?

  • 3-4 hour operation
  • day surgery or overnight stay
  • external and internal splints for 10 days
  • breathing is worse after rhinoplasty for some weeks due to internal swelling and secretions